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NPI 1578613949
NPI deactivated
1578613949
1578613949 was paid $172K by Medicaid between Jan 2018 and Nov 2024, across 95 billing codes. Its largest line is 92551, — 57% of everything it billed.
33Billing provider info1578613949
33aNPI1578613949
33bProvider type—
28Total paid$172K
24GClaims132,415
24DCodes billed95
24AFirst – last monthJan 2018 – Nov 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,453 | $2K | |
| 2019 | 33,692 | $37K | |
| 2020 | 18,375 | $28K | |
| 2021 | 22,736 | $24K | |
| 2022 | 18,267 | $25K | |
| 2023 | 18,967 | $27K | |
| 2024incomplete | 17,925 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92551 | 57% | 9,354 | 9,324 | $97K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.7% | 15,179 | 13,718 | $15K |
| 99188 | 5.2% | 508 | 506 | $9K | |
| 90688 | 4.6% | 1,036 | 1,035 | $8K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 3.5% | 628 | 628 | $6K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.8% | 3,608 | 3,486 | $5K |
| 93000 | 2.8% | 173 | 170 | $5K | |
| 92081 | 1.9% | 4,170 | 4,152 | $3K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 577 | 569 | $3K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.6% | 6,728 | 6,690 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 1,817 | 1,812 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 977 | 964 | $2K |
83 more codes
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 1.1% | 4,107 | $2K |
| G9920 | Screening performed and negative | <1% | 7,019 | $1K |
| 94760 | <1% | 11,858 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,639 | $946.50 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 3,362 | $929.37 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,071 | $774.23 |
| 99497 | <1% | 19 | $757.79 | |
| 96156 | <1% | 677 | $750.36 | |
| 99442 | <1% | 2,027 | $658.42 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 763 | $647.82 |
| 99406 | <1% | 1,007 | $498.59 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 946 | $430.17 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 425 | $372.65 |
| 85018 | <1% | 5,658 | $347.92 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | <1% | 1,221 | $333.54 |
| 90715 | <1% | 98 | $330.44 | |
| 81002 | <1% | 2,819 | $289.20 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 158 | $258.39 |
| 99443 | <1% | 592 | $218.95 | |
| 90756 | <1% | 14 | $125.91 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 123 | $114.74 |
| 99385 | <1% | 133 | $112.96 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,464 | $108.80 |
| 90686 | <1% | 130 | $100.82 | |
| 86580 | <1% | 192 | $93.84 | |
| 90734 | <1% | 274 | $44.55 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 185 | $43.59 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 701 | $39.60 |
| 90651 | <1% | 348 | $35.64 | |
| 90633 | <1% | 72 | $26.73 | |
| 90710 | <1% | 30 | $17.82 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 154 | $17.60 |
| 87110 | <1% | 213 | $17.08 | |
| 96160 | <1% | 119 | $9.81 | |
| 81025 | <1% | 108 | $9.15 | |
| 90670 | <1% | 50 | $8.91 | |
| 90648 | <1% | 41 | $8.91 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,068 | $4.86 |
| 82270 | <1% | 260 | $2.89 | |
| 3078F | 0% | 1,595 | $0.00 | |
| 3077F | 0% | 499 | $0.00 | |
| 1160F | 0% | 852 | $0.00 | |
| 99408 | 0% | 4,155 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 424 | $0.00 |
| 1159F | 0% | 2,311 | $0.00 | |
| 3725F | 0% | 1,362 | $0.00 | |
| 99397 | 0% | 25 | $0.00 | |
| 99409 | 0% | 14 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 14 | $0.00 |
| 99173 | 0% | 15 | $0.00 | |
| 3079F | 0% | 805 | $0.00 | |
| 1036F | 0% | 10,449 | $0.00 | |
| 3008F | 0% | 5,784 | $0.00 | |
| 3074F | 0% | 1,819 | $0.00 | |
| 82962 | 0% | 45 | $0.00 | |
| 1220F | 0% | 1,368 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 81 | $0.00 |
| 3352F | 0% | 417 | $0.00 | |
| 1034F | 0% | 39 | $0.00 | |
| 0545F | 0% | 107 | $0.00 | |
| 90696 | 0% | 14 | $0.00 | |
| 3080F | 0% | 257 | $0.00 | |
| 96127 | 0% | 106 | $0.00 | |
| 3354F | 0% | 320 | $0.00 | |
| 3075F | 0% | 358 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 107 | $0.00 |
| 99000 | 0% | 38 | $0.00 | |
| 3351F | 0% | 393 | $0.00 | |
| 1111F | 0% | 13 | $0.00 | |
| 3353F | 0% | 181 | $0.00 | |
| 90620 | 0% | 37 | $0.00 | |
| 99407 | 0% | 21 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 58 | $0.00 |
| 99451 | 0% | 232 | $0.00 | |
| 96161 | 0% | 49 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 12 | $0.00 |
| 99441 | 0% | 57 | $0.00 | |
| 88141 | 0% | 17 | $0.00 | |
| 99386 | 0% | 13 | $0.00 | |
| 2000F | 0% | 15 | $0.00 | |
| 3014F | 0% | 12 | $0.00 | |
| 36416 | 0% | 12 | $0.00 | |
| H0001 | Alcohol and/or drug assessment | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.